腹腔镜手术治疗泌尿系疾病44例的总结

Laparoscopic surgery in the urology:a report of 44 cases

目的:探讨腹腔镜在泌尿外科手术中的临床应用价值。方法:用后腹膜腔和经腹腔(包括手辅式)术式治疗肾癌、肾盂癌、肾上腺肿瘤、无功能肾积水、乳糜尿、肾盂输尿管交界处狭窄、肾盂结石和肾囊肿。结果:41例手术均成功,手术时间30～140min,平均48min,术中出血10～100ml,平均40ml。术中患者生命体征平稳。3例中转开放手术。结论:只要术前做好充分准备,腔内操作技术熟练,腹腔镜手术治疗泌尿外科相关疾病不仅安全、微创,而且患者出血少、康复快,有些疾病可将腹腔镜手术作为首选的治疗方法。

Objective:To investigate the clinical value of laparoscopic surgery in urology.Methods: Retroperitoneal or transperitoneal laparoscopic surgery(including handassisted laparoscopy)was used to treat renal tumor,adrenal tumor,severe hydronephrosis,chyluria,obstruction of pelvicureter junction,pyelolithiasis and renal cyst.Results: Fortyone cases received laparoscopic surgery successfully.Operative time was 30140minutes,with a mean of 48 minutes Blood loss of operation was 10100ml,with a mean of 40ml.Vital signs were stable during operation.3 cases received open surgery because of failing laparoscopic surgery.Conclusions: Laparoscopic surgery in urology is safe,minimal invasive,less blood loss and shorter convalescence.If preoperative preparation is sufficient and intracavitary surgical technique is skilled,it is most appropriate that laparoscopic surgery is used in many diseases of urology.